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Case Reports
. 2021 Jul-Sep;16(3):232-239.
doi: 10.4103/jpn.JPN_73_16. Epub 2022 Jan 7.

Multiloculated Hydrocephalus: Evolution of Treatments and Outcome

N K Venkataramana  1
Affiliations
Case Reports

Multiloculated Hydrocephalus: Evolution of Treatments and Outcome

N K Venkataramana. J Pediatr Neurosci. 2021 Jul-Sep.

Abstract

Multiloculated hydrocephalus has an overall dismal functional outcome; imaging, early diagnosis, and technological advancements have made new roads in its management. Thirty infants with multiloculated hydrocephalus were studied. Progressive enlargement of the head was the most common presentation in 77%; of these, 47% were treated for neonatal meningitis and septicemia and 20% had suffered birth trauma. The majority required a single ventriculoperitoneal shunt; nine of them required multiple shunts; and six were managed with endoscopic fenestration and endoscopic third ventriculostomy. On follow-up, shunt malfunction was the most common complication. Only 26% of the survivors could achieve normal, neuropsychological developments. The mortality in this series is 6.7%.

Keywords: Endoscopy; V P shunt; management; multiloculated hydrocephalus; outcome.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Multiloculated hydrocephalus (axial)
Figure 2
Figure 2
Membrane of loculated hydrocephalus
Figure 3
Figure 3
Opened loculi with collapsing membranes
Figure 4
Figure 4
Fenestration with bipolar
Figure 5
Figure 5
Complete opening
Figure 6
Figure 6
Opening of the septum
Figure 7
Figure 7
MRI CSF flow study in Multi loculated hydrocephalus
Figure 8
Figure 8
Multi loculated hydrocephalus requiring multiple shunts
See this image and copyright information in PMC

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